Individual
CHERYL ANN DAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
(928) 405-9953
Mailing address
3585 WAYWARD WIND DR, LAKE HAVASU CITY, AZ 86406-6359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9905A
AZ
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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